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        <identifier>oai:mie-u.repo.nii.ac.jp:02000039</identifier>
        <datestamp>2023-10-17T01:55:20Z</datestamp>
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          <dc:title>Locomotive syndrome affects the acquisition of longterm care insurance system certification</dc:title>
          <dc:creator>Kitaura, Yukie</dc:creator>
          <dc:creator>キタウラ, ユキエ</dc:creator>
          <dc:creator>北浦, 有紀絵</dc:creator>
          <dc:subject>Epidemiology</dc:subject>
          <dc:subject>Locomotive syndrome</dc:subject>
          <dc:subject>Long-term care insurance</dc:subject>
          <dc:subject>Quality of life</dc:subject>
          <dc:description>三重大学</dc:description>
          <dc:description>博士(医学)</dc:description>
          <dc:description>application/pdf</dc:description>
          <dc:description>Background: Locomotive syndrome is closely related to the state of long-term care. This study aimed to longitudinally evaluate long-term care certification occurrence in locomotive syndrome using data from the Miyagawa study.Methods: The study included 470 individuals (168 males, 302 females; mean age, 70.7 years) with no long-term care certification at the time of participation in the study. Locomotive syndrome was classified into three stages (stages 1e3) according to the 25-question Geriatric Locomotive Function Scale. Analysis was performed with long-term care certification occurrence as the endpoint and locomotive syndrome stage as the explanatory variable.Results: The median observation period was 6.3 years, and long-term care certification occurred in 69 (34.2%) and 30 (11.2%) of the participants in the locomotive syndrome and no-locomotive syndrome groups, respectively. Independent risk factors of long-term care certification occurrence were locomotive syndrome stage-3 (hazard ratio: 2.27) in the total number of studies, and locomotive syndrome stages 2 (hazard ratio: 2.49) and 3 (hazard ratio: 2.79) in females. Locomotive syndrome stage-3 was an independent risk factor in long-term care certification occurrence due to musculoskeletal disorders (hazardratio: 3.89).Conclusions: The higher the locomotive syndrome stage, especially in females, the higher the risk of long-term care certification occurrence.</dc:description>
          <dc:description>本文/Department of Orthopaedic Surgery, Mie University Graduate School of Medicine Edobashi 2-174, Tsu-city, Mie, 514-8507, Japan</dc:description>
          <dc:description>6p</dc:description>
          <dc:description>doctoral thesis</dc:description>
          <dc:publisher>三重大学</dc:publisher>
          <dc:date>2023-03-24</dc:date>
          <dc:date>2023-03-24</dc:date>
          <dc:type>VoR</dc:type>
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          <dc:identifier>甲医学第2183号</dc:identifier>
          <dc:identifier>https://mie-u.repo.nii.ac.jp/record/2000039/files/2022DM0334.pdf</dc:identifier>
          <dc:identifier>http://hdl.handle.net/10076/0002000039</dc:identifier>
          <dc:identifier>https://mie-u.repo.nii.ac.jp/records/2000039</dc:identifier>
          <dc:language>eng</dc:language>
          <dc:relation>10.1016/j.jos.2022.11.021</dc:relation>
          <dc:rights>open access</dc:rights>
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